1962598136 NPI number — NEW ENGLAND SINAI HOSPITAL AND REHABILITATION CENTER

Table of content: (NPI 1962598136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962598136 NPI number — NEW ENGLAND SINAI HOSPITAL AND REHABILITATION CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ENGLAND SINAI HOSPITAL AND REHABILITATION CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962598136
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 YORK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STOUGHTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02072-1829
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-297-1101
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 YORK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STOUGHTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02072-1829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-297-1101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
E
Authorized Official Title or Position:
VP FINANCE
Authorized Official Telephone Number:
781-297-1101

Provider Taxonomy Codes

  • Taxonomy code: 261QA0600X , with the licence number:  2250 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 282E00000X , with the licence number: 2250 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01766389 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1100718 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 630192 . This is a "AETNA/US HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 800774 . This is a "TUFTS INPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 903106 . This is a "TUFTS - OUTPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: S0005576 . This is a "CHAMPUS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: NEW2222202710 . This is a "BCBSMA - OUTPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 903106 . This is a "TUFTS OUTPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1905503 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 623835 . This is a "BC OF VIRGINIA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 800774 . This is a "TUFTS - INPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: NEW2222202701 . This is a "BCBS OF MA- INPATIENT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1902687 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0009839 . This is a "NEIGHBORHOOD HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1202804 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 900074 . This is a "HARVARD PILGRIM HEALTHCAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Z2243 . This is a "BC OF NEW YORK" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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